| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Henry M. Goldberg | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Henry | [sources] | |||
| Last name | Goldberg | [sources] | |||
| Middle name | M. | [sources] | |||
| Registration number | G10512 | [sources] | |||
| Sector | Physician | [sources] | |||
| Address | 4800 North Federal Hwy., Unit #205-B, Boca Raton, FL | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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